Prior authorization by Security Health Plan is required before receiving certain services to ensure coverage and payment for those services. Please have your doctor complete a prior authorization form and submit it to Security Health Plan if you plan to receive any of these services.
When is prior authorization needed?
Security Health Plan requires prior authorization for some medical services or equipment. While a provider will generally make these requests and submit the necessary forms, it is a member’s responsibility to make sure the process is followed. A health care provider may contact Security Health Plan to determine whether a prior authorization is required for a member’s service or medical equipment by calling our Provider Assistance Line at 1-800-548-1224. Click here to view a list of services that require prior authorization.
All services for durable medical equipment and prosthetic-orthotic services will require prior authorization from Northwood, Inc.
Security Health Plan has partnered with Northwood, Inc., to manage all durable medical equipment and prosthetic-orthotic services. Your provider will work with Northwood to ensure that authorizations are in place for products and services you receive. Below are a few services that require prior authorization and need follow-up with Northwood.
durable medical equipment
Medical benefit drugs
Medical benefit drugs (covered by Part B for members with Medicare) are injected or infused while you are in a provider's office, a hospital outpatient or ambulatory surgical center and may require prior authorization. In addition, home infusion services may also require prior authorization.
These medical benefit drugs may be added or removed from this list quarterly on a calendar year basis. You can also call our Customer Service Department at 1-844-293-9624 to find out which medical benefit drugs require prior authorization.